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HomeMy WebLinkAboutHAZMAT INSP 3/4/2016FACILITY NAME INSPECTION DATE INSPECTION TIME ,^ [ if ADDRESS 1; PHONE NO. NO OF EMPLOYEES r FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title .z m Ya `k,,g . t •. ,..... "`1 ,...c' „,F ., �.. ..:: .," h .>rr A J, 7. rJ �. "e' i .:, >L� � 4 >�. ,. 5 :: ✓. 9,,.5¢ ,; .. ..: 4'. _.,. ,..sx:.c- R:. a. '"fix. �. ...,.<.. $.y q¢ � :<& k &.,... i..: . ..k 3 3. ! fi ,,,.., ., >, .:.. aY,. ,.• ... ., . {>..., ¢ Y � , .. e -o, n t� q ,:,".:,,. (.. , j. E: �.. X k P S3 w�; �-�.. z 3 • x - a :.. ,,, ;, s :. � r ,., r' , n r. ;. ". �,. u�. , i.. .n'S,rs. '� a,5. 'A,,: `WI.�[ f■■ ' ; '�y ��ii.,e., � .R . ';d � '',4 .x ,;'. P.�.�i�t �.. �� �� lax „��- � :.. �,. � � � � -:. " ,,: ,: ... �. <. .,.,.. ,�'' ,Ilx. .:.: :: ,• x. .. . ti—i, w.l. , : , r ,.,.: .:, ..... < ., s6 «,.. .�i, . . ■ .. x , 1 .. '.n 'r:aS,F �'xw. 6.,ae, .. .fit, Y,.,.,,?T.4, :,x.. ::. ,�. ,.s,:. ,,. .n. a.,_c,,,... :� ,..4s ,.� _... ,, .,.�, ,:, ,, ,.o, >.. ,s .,,:,:.,. .,. z,....:,,z .,, ,{ ,. ,U .: x.. .;..3aa"... ?r•.... :k. „n.:A.,a_..,. ,, .,�.,�5',x.m,�s%?:�.J uttsg�,.,,,:��x'" .�..s...,,Y: .' �.. El ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION V C=Compliance OPERATION CERS V =Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY `.. (CBC:401) r. VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004, VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 "17 VERIFICATION OF LOCATION. (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (,CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729 2'(3,)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1.020002`;�,� VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010,. CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1.010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofRecei t Explain: Inspector. POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire "Dept., Prevention Services, 2101 H Street, California 93301 Date White —Business Copy Yellow — Station Copy - Pink - Prevention Services FD2155 (Rev 8H14) BAKERSFIELD FIRE DEPT. Prevention Services $....., .. .E.....R...a.....F.....i....._D 2101 H Street UNIFIED PROGRAM INSPECTION CHECKLIST © .FI r Bakersfield,, CA 93301 ._. ............................. Tel.: (661) 326 -3979 Fax: (661) 852 -2171 SECTION 1: Hazardous Materials Business Plan Inar ection FACILITY.NAME INSPECTION DATE INSPECTION TIME V= Violation; 1,11 Minor Violation COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES 3010001 M w BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS”' (CFC: 505.1, BMC: 15.52.020) 0 :70 Consent to Inspect Name /Title CORRECT OCCUPANCY (CBC: 401) ..L.. „k» .5„£a::. ... W C t.. '.: Si, ... -..k .f•. n. e., ,... /.ew.. ... l }.. • ,t s."�' "m^ r: s!c:..e },.3, <. $... ew .ri; ».e.c,. i'�”, � Y ,,., ...,, 5». ! :..,nx .. ,... ,... .,,..y.: •, . i, ,:; .. ...l, .!1, y.'.,,. ,.r .a. ' �. .< ' > tof..r' , 4... �y<' : 3:, ,�',:;aw � w a:.p„ Ike. ',",. ,.."<, .. ..r:,. ,v^^., fi^� .,: ,$ x , xx ... . c ,,: `i. . � ... ..:.,, .,. -.x. .l,X, '.•x w' .+i, '. s' ':.. .t`.. .L: .R ��� «`+N,P'y. ,.. E�t4°», •y t,�„xx' 4>t.e.. ;:. ,>x.K- „. w>... ;, 2 „a .r .s>'��>.m ..,,...,.. -....9 N, �.a> „`�” ,Y, .x z.?�« ,wi.. <.,7','•.< �. ti; ;I`.� .AR....>rn. �.. <,x�,wrn7�., a,St Y}T rs�v�. ... ."wz,.'t?: .JOINT ❑ ROUTINE. ❑ COMBINED ❑ AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS”' (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) A VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES ,. (CCR: 2729.4) 1010006f ,.� VERIFICATION OF LOCATION. ` (CCR: 2729.2) i � 1 PROPER SEGREGATION OF MATERIAL (,CFC: 2704.1) ,hs VERIFICATION OF SDS AVAILABILITY (CCR: 27292'(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) `` 1020002 /N11 ti.. VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1)` FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR' 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sim tureofRecei t Explain: Inspector• POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H, Street, California 93301 Date White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)